Traditional disease surveillance can be augmented with a wide variety of open sources, such as online news media, twitter, blogs, and web search records. Rapidly increasing volumes of these open sources are proving to be extremely valuable resources in helping analyze, detect, and forecast outbreaks of infectious diseases, especially new diseases or diseases spreading to new regions. However, these sources are in general unstructured (noisy) and construction of surveillance tools ranging from real-time disease outbreak monitoring to construction of epidemiological line lists involves considerable human supervision. Intelligent modeling of such sources using text mining methods such as, topic models, deep learning and dependency parsing can lead to automated generation of the mentioned surveillance tools. Moreover, real-time global availability of these open sources from web-based bio-surveillance systems, such as HealthMap and WHO Disease Outbreak News (DONs) can aid in development of generic tools which will be applicable to a wide range of diseases (rare, endemic and emerging) across different regions of the world. In this dissertation, we explore various methods of using internet news reports to develop generic surveillance tools which can supplement traditional surveillance systems and aid in early detection of outbreaks. We primarily investigate three major problems related to infectious disease surveillance as follows. (i) Can trends in online news reporting monitor and possibly estimate infectious disease outbreaks? We introduce approaches that use temporal topic models over HealthMap corpus for detecting rare and endemic disease topics as well as capturing temporal trends (seasonality, abrupt peaks) for each disease topic. The discovery of temporal topic trends is followed by time-series regression techniques to estimate future disease incidence. (ii) In the second problem, we seek to automate the creation of epidemiological line lists for emerging diseases from WHO DONs in a near real-time setting. For this purpose, we formulate Guided Epidemiological Line List (GELL), an approach that combines neural word embeddings with information extracted from dependency parse-trees at the sentence level to extract line list features. (iii) Finally, for the third problem, we aim to characterize diseases automatically from HealthMap corpus using a disease-specific word embedding model which were subsequently evaluated against human curated ones for accuracies. / Ph. D.

This thesis is an evaluation and proposal for development for an alternative health care center in West Virginia. The Gesundheit Institute is based on the work of Dr. Hunter "Patch" Adams and his desire to create an alternative to the current model of health care. The Institute would not charge for services and will offer non-traditional as well as traditional methods of healing. By evaluating what is currently happening at the center and what the resources are, I propose to use an incremental approach to growth. The ideas would result in a series of smaller buildings developed over time as opposed to a single larger building. The thesis includes the design for the next major building, a community center/dining hall and a basic design for a series of sleeping quarters. It also includes the reworking of the master plan to better include issues integrating incremental growth and sustainable development. / Master of Architecture

No / In this study, we assessed if the superimposition of incident sexually transmitted infections (STIs) on HIV phylogenetic analyses could reveal possible sexual behaviour misclassifications in our HIV-infected population. HIV-1 sequences collected between 1997 and 2014 from 1169 individuals attending a HIV clinic in Antwerp, Belgium were analysed to infer a partial HIV transmission network. Individual demographic, clinical and laboratory data collected during routine HIV follow-up were used to compare clustered and non-clustered individuals using logistic regression analyses. In total, 438 (37.5%) individuals were identified in 136 clusters, including 76 transmission pairs and 60 clusters consisting of three or more individuals. Individuals in a cluster were more likely to have a history of syphilis, Chlamydia and/or gonorrhoea (P < 0.05); however, when analyses were stratified by HIV transmission risk groups (heterosexual and men who have sex with men [MSM]), this association only remained significant for heterosexuals with syphilis (P = 0.001). Under closer scrutiny, this association was driven by six heterosexual men who were located in six almost exclusively MSM clusters. A parsimonious conclusion is that these six individuals were potentially misclassified as heterosexual. Improving the accuracy of sexual behaviour reporting could improve care.

Concept of health education in kindergarten This thesis deals with the concept of a healthy lifestyle for preschool children and of health education in nursery schools. The first part of this work is the definition of "health" and individual determinants of health such as lifestyle, environment and health. The thesis deals with the various components of health education in kindergarten, the movement of children in kindergarten, nutrition, inner comfort and overall environment of the nursery school in the context of the Framework Curriculum for preschool education. The subject of research of this thesis is two-stage evaluation process and questionnaire, which is presented to teachers of kindergartens.

The majority of Swedish boys and girls have good psychosomatic health. Despite that the risk of mental health problems such as nervousness, feeling low and sleeping difficulties has increased steadily in recent decades. Moreover, previous surveys on health and well-being indicate that boys and girls of foreign extraction in Sweden are at increased risk of ill health compared to boys and girls of Swedish background.   The main aim of this thesis was to analyse health and social determinants among boys and girls of foreign extraction in Sweden. The factors explored in papers I–IV include parental background, family affluence and gender and their associations with subjective health complaints, psychosomatic problems or health risk behaviours. Other included risk factors for ill health were involvement in bullying, low participation and discrimination at school. This thesis takes an intersectional perspective, with ambitions to be able to emphasize the interplay between different power relations (i.e. gender, social class and parental background).   Two sets of cross-sectional data were used. Three papers were based on the Swedish part of the World Health Organization’s Health Behaviour in School-Aged Children. The sample consisted of 11,972 children (boys n = 6054; girls n = 5918) in grades five, seven and nine from the measurement years 1997/98, 2001/02 and 2005/06. The response rate varied between 85 and 90%. About one fifth of the included children were of foreign extraction. For the fourth paper regional data from Northern Sweden were used. Boys (n = 729) and girls (n = 798) in grades six to nine answered a questionnaire in 2011 and the response rate was 80%. About 14% of the included children were of foreign extraction. Statistical methods used were chi-square test, correlation analyses, logistic regression analyses, cluster analyses and test of mediating factor.   The results showed that girls of foreign background were at increased risk of subjective health complaints (SHC) and boys of mixed background were at increased risk of psychosomatic problems (PSP). Increased risk of allocation to the cluster profile of multiple risk behaviour was shown in boys and girls of mixed background, in girls of foreign background and in girls of low family affluence. Increased risk of allocation to the cluster profile of inadequate tooth brushing was shown in boys and girls of foreign background and in girls of low family affluence. General risk factors for increased risk of ill health for boys and girls in Sweden were: any form of bullying involvement, low family affluence, low participation and discrimination at school, of which the latter also was a mediating factor for ill health. Living with a single parent was a risk factor for ill health among girls.   The results can function as a basis for developing health promotion programmes at schools that focus on social consequences of foreign extraction, family affluence, participation as well as health risk behaviours and gender. / Majoriteten av flickorna och pojkarna i Sverige har en god psykosomatisk hälsa. Trots det har risken för psykiska hälsosymptom såsom nervositet, att känna sig nere och sömnsvårigheter ökat successivt de senaste årtiondena. Dessutom indikerar tidigare forskning angående hälsa och välmående att flickor och pojkar med utländsk härkomst har ökad risk för ohälsa jämfört med flickor och pojkar med svensk härkomst.   Denna avhandlings huvudsyfte var att analysera hälsa och sociala bestämningsfaktorer bland flickor och pojkar i Sverige, med fokus på föräldrabakgrund. Artiklarnas (I–IV) syften inkluderar föräldrahärkomst, familjens materiella tillgångar och genus samt dess samband med subjektiva hälsobesvär, psykosomatiska problem eller hälsoriskbeteenden. Andra riskfaktorer för ohälsa som inkluderades var inblandning i mobbning, lågt deltagande och förekomst av diskriminering på skolan. Denna avhandling beaktar ett intersektionellt perspektiv med ambitionen att kunna tydliggöra samspelet mellan olika maktordningar (dvs. genus, social klass och föräldrabakgrund).   Två dataset från tvärsnittsstudier har använts. I de tre första artiklarna användes World Health Organization – Health Behaviour in School-Aged Children, som i Sverige heter Svenska skolbarns hälsovanor. Studiepopulationen bestod av 11 972 barn (flickor n = 5918; pojkar n = 6054) i årskurserna fem, sju och nio undersöknings år 1997/98, 2001/02 och 2005/06. Svarsfrekvensen var mellan 85 och 90 %. Ungefär en femtedel av barnen som deltog hade utländsk härkomst. I den fjärde artikeln användes regional data från norra Sverige. Flickor (n = 798) och pojkar (n = 729) i årskurserna sex till nio deltog i studien år 2011, svarsfrekvensen var 80 %. Omkring 14 % av barnen hade utländsk härkomst. De statistiska metoder som användes var sambandstest (chi-två), test av linjära samband så kallade korrelationsanalyser, logistisk regressionsanalys, klusteranalys och test av medierande faktor.   Resultaten visade att flickor med utländsk bakgrund hade ökad risk för subjektiva hälsobesvär (SHC) och pojkar av mixbakgrund hade ökad risk för psykosomatiska problem (PSP). Ökad risk för att hamna i klusterprofilen multipelt hälsoriskbeteende hade flickor och pojkar med mixbakgrund, flickor med utländsk bakgrund samt flickor i familjer med låg nivå av materiella tillgångar. Ökad risk för att hamna i klusterprofilen bristande tandborstning hade flickor och pojkar med utländsk bakgrund och flickor i familjer med låg nivå av materiella tillgångar. Generella riskfaktorer för ohälsa bland flickor och pojkar i Sverige var: alla former av inblandning i mobbning, låg nivå av materiella tillgångar i familjen, lågt deltagande och förekomst av diskriminering på skolan, vilken den senare även var en medierande faktor för ohälsa. Att leva med en ensamstående förälder var en riskfaktor för ohälsa bland flickor.   Avhandlingens resultat kan ligga till grund för utformande av hälsofrämjande interventioner inom elevhälsan, till exempel interventioner som fokuserar på sociala konsekvenser av utländsk härkomst, familjens materiella tillgångar, deltagande och diskriminering samt hälsoriskbeteenden och genus.

Il est question d’analyser une tendance marquée des séries de science-fiction contemporaines, qui proposent un récit complexe et feuilletonnant, impliquant une intense participation de la part des spectateur.ice.s ; ces dernie.re.s se voient promettre, via l’énigme, la quête et/ou le voyage dans le temps, un dénouement qui serait la conséquence logique des évènements mis en scène. Au travers des énigmes de Lost (2004-2010, ABC), de la quête des humains dans Battlestar Galactica (2004-2009, Sci-Fi) ou de l’utilisation du voyage dans le temps dans Doctor Who (2005- ?, BBC1), il est possible de déceler des mécanismes narratifs visant à entretenir l’illusion d’une progression réfléchie vers un dénouement tantôt mis en avant, tantôt repoussé, dans un contexte de production où les scénaristes ne sont pas maîtres de leur récit. Babylon 5 (1993-1999, TNT), série dont le récit a été effectivement prévu à l’avance, sert de maître-étalon, tandis que Fringe (Fox, 2008-2013) permet d’envisager les limites de cette tendance. La capacité de ces programmes à construire une « intrigue macroscopique » à l’échelle de la série toute entière, éclaire plus largement les processus narratifs à l’œuvre dans la majorité des séries narrativement complexes contemporaines (au sens de Mittell). Au fil des liens avec l’intrigue des cycles littéraires, et d’une méthodologie centrée sur la visualisation de l’intrigue macroscopique, on peut, en s’appuyant sur une narratologie des séries télévisées encore expérimentale, entrevoir une poétique de l’écriture prospective télévisuelle. Dans une perspective contextualiste, il est vital de garder en vue les conditions d’écriture, de production et de réception de ces objets atypiques ; en retour, ces récits prospectifs apportent un nouvel éclairage au projet d’une narratologie transmédiatique porté par les études contemporaines du récit. / The aim of this work is to analyse a specific trend in contemporary science-fiction TV series : narratively complex programs (Mittell) that require an increased investment from the viewer and seem to make the promise of a logical and fulfilling ending where truth is revealed, quests are achieved and time-travel paradoxes are resolved. Looking at the mysteries from Lost (2004-2010, ABC), the quest of the Thirteenth Tribe in Battlestar Galactica (2004-2009, Sci-Fi) or the never-ending use of time-travel in Doctor Who (2005- ?, BBC1), it is possible to isolate narrative mechanisms that alternately foreshadow and defer the ending, in a world where writers can’t have full control over the plot. Babylon 5 (1993-1999, TNT), a show written in advance by its creator, will be our Rosetta Stone, while Fringe (Fox, 2008-2013) will take us to the edge of that growing trend. These programs’ ability to construct a “macroscopic plot” on the scale of the entire series, shines a light on narrative process operating in the majority of narratively complex TV series. Taking a closer look at research on literary cycles, and creating narrative diagrams to visualize this macroscopic plot, it is possible to outline a poetic of prospective writing, drawing on television series narratology. Following a contextualist view, it is important to consider the writing, production, reception of these programs; in return, studying macroscopic plots in TV series can give new clues for transmedial narratology (Herman).

This paper explores WHO’s response during the COVID-19 pandemic and compares it to its response during the SARS epidemic in 2003. This is done by examining the organization’s performance through a policy output approach and theoretical perspectives of effectiveness and performance theories. The policy output approach offers an operational model that suggests studying five variables of output applied to the policy documents published by the organization. The results show that WHO has increased its performance and productivity since SARS 2003 which might indicate that the effectiveness of the organization could have increased along with it. However, in order to ultimately establish effectiveness, external factors such as compliance of member states and domestic politics needs to be considered in future studies. This study contributes to the understanding of WHO’s performance in times of crisis and can be used as background for further research on effectiveness.

Purpose: This degree project has investigated the problems Södra Källtorp has with noise due to the nearby highway E18. The purpose of this work is to investigate whether Södra Källtorp meets the guideline values and also whether the implemented noise protection measures in the neighbourhood have caused a change regarding the noise level. Method: The method for carrying out this degree project consisted of a literature study and a case study. The case study was carried out through own measurements and calculations. Four measuring points were chosen. The first two are located in Södra Källtorp and are covered by the noise protection, while the last two are not covered by any noise protection and are located in Råby. Based on the measurement results, the daily equivalent sound level was calculated based on the annual average daily traffic for each measurement point. In addition, interviews were held in order to get a picture of the noise experience among the residents in the neighbourhood. Results: According to the measurement results, the daily equivalent sound level was 55 dBA and the daily maximum sound level 61 dBA for measuring point M1. For measuring point M2, the daily equivalent sound level was 46 dBA while the daily maximum sound level was 53 dBA. Measuring point U1 had a higher noise level than measuring point M1 and measuring point U2 had a higher noise level than measuring point M2. Conclusions: Conclusions that can be drawn are that the noise protection measures have made a change regarding the noise level in Södra Källtorp and that the noise levels in Södra Källtorp do not exceed the guideline values. However, most noise levels that occur in the neighbourhood are not approved according to WHO. More noise protection measures may need to be taken in the future in order to meet WHO’s recommendations.

Syftet med följande studie är att undersöka vilken verkan lagändringen i Brottsbalken (SFS1962:700, 4 kap. 3 §), avseende barnfridsbrott, har fått för socialtjänstens arbete. Vidare ämnarstudien belysa socialarbetares upplevelser av att arbeta med barn som upplevt våld mellannärstående. Studien antar en hermeneutisk utgångspunkt och använder sig av organisationsteorin,professionsteorin och begreppet handlingsutrymme för att tolka och förstå resultatet. Femsemistrukturerade intervjuer genomfördes med socialarbetare som dagligen kommer i kontaktmed barn i sitt arbete. Intervjuerna transkriberades och analyserades därefter genom kodning ochen tematisk analys, vilket resulterade i att två huvudteman och sju delteman identifierades. Avstudiens resultat framgår att lagändringen inte haft någon större påverkan på det praktiskaarbetet, då socialtjänsten redan arbetade utifrån barnets bästa i stor utsträckning. Däremotupplever respondenterna att arbetet för rättsväsendet och andra samverkanspartner har förändratstill följd av lagändringen. Likaså har samverkan ökat, både internt inom socialtjänstens olikaenheter, och externt mellan olika myndigheter och andra samverkanspartner. Studien påvisar attbarns rättigheter delvis har stärkts då barn i allt större utsträckning ses som egen part. Samtidigtfinns brister i samverkan och begränsningar i svensk lagstiftning och praxis, som gör det svårtför socialarbetare att tillförsäkra barns rättigheter. / The aim of this study is to examine what effect the new law regarding violation of children’sintegrity has had on social services’ work. The study adopts a hermeneutic approach and usesorganizational theory, professional theory and social worker's use of discretion to interpret andunderstand the results. Semi-structured interviews were conducted with five social workers. Theinterviews were transcribed and subsequently analyzed through coding and a thematic analysis,which resulted in the identification of two main themes and seven sub-themes. The studyconcluded that the change in the law did not have a particularly large impact, since the socialservices were already working in the best interest of the child to a large extent. However, socialworkers feel that the work of the judiciary and other cooperation partners has changednoticeably. Likewise, collaboration has increased, both internally within the social services, andexternally between different authorities and other collaboration partners. Furthermore, the studyshows that children's rights have been partially strengthened, as they are increasingly seen astheir own party. Despite this, there are shortcomings in cooperation and other limitations inSwedish legislation and practice that make it difficult for social workers to ensure that children'srights are met.

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